In takotsubo cardiomyopathy, the clinical appearance is that of an acute myocardial infarction in the absence of obstructive coronary artery disease, with apical ballooning of the left ventricle. The condition is usually precipitated by a stressful physical or psychological experience. The mechanism is unknown but is thought to be related to catecholamine excess. We present the case of a 67-year-old woman who experienced cardiogenic shock caused by takotsubo cardiomyopathy, immediately after undergoing elective direct-current cardioversion for atrial fibrillation. After a course complicated by left ventricular failure, cardiogenic shock, and ventricular tachycardia, she made a complete clinical and echocardiographic recovery In addition to this case, we discuss the possible direct effect of cardioversion in takotsubo cardiomyopathy.
机构:Louisiana State Univ, Hlth Sci Ctr, Gen Internal Med Sect, Shreveport, LA 71130 USA
Boktor, Moheb
;
Mansi, Ishak A.
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Louisiana State Univ, Hlth Sci Ctr, Gen Internal Med Sect, Shreveport, LA 71130 USALouisiana State Univ, Hlth Sci Ctr, Gen Internal Med Sect, Shreveport, LA 71130 USA
Mansi, Ishak A.
;
Troxclair, Sean
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机构:Louisiana State Univ, Hlth Sci Ctr, Gen Internal Med Sect, Shreveport, LA 71130 USA
Troxclair, Sean
;
Modi, Kalgi
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机构:Louisiana State Univ, Hlth Sci Ctr, Gen Internal Med Sect, Shreveport, LA 71130 USA
机构:
Harvard Univ, Sch Med, Boston, MA USA
Massachusetts Gen Hosp, Dept Anesthesia & Crit Care, Boston, MA 02114 USAMcLean Hosp, Dept Psychiat, Belmont, MA 02478 USA
Torri, Andrea
;
Seiner, Stephen
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McLean Hosp, Dept Psychiat, Belmont, MA 02478 USA
Harvard Univ, Sch Med, Boston, MA USAMcLean Hosp, Dept Psychiat, Belmont, MA 02478 USA
机构:Louisiana State Univ, Hlth Sci Ctr, Gen Internal Med Sect, Shreveport, LA 71130 USA
Boktor, Moheb
;
Mansi, Ishak A.
论文数: 0引用数: 0
h-index: 0
机构:
Louisiana State Univ, Hlth Sci Ctr, Gen Internal Med Sect, Shreveport, LA 71130 USALouisiana State Univ, Hlth Sci Ctr, Gen Internal Med Sect, Shreveport, LA 71130 USA
Mansi, Ishak A.
;
Troxclair, Sean
论文数: 0引用数: 0
h-index: 0
机构:Louisiana State Univ, Hlth Sci Ctr, Gen Internal Med Sect, Shreveport, LA 71130 USA
Troxclair, Sean
;
Modi, Kalgi
论文数: 0引用数: 0
h-index: 0
机构:Louisiana State Univ, Hlth Sci Ctr, Gen Internal Med Sect, Shreveport, LA 71130 USA
机构:
Harvard Univ, Sch Med, Boston, MA USA
Massachusetts Gen Hosp, Dept Anesthesia & Crit Care, Boston, MA 02114 USAMcLean Hosp, Dept Psychiat, Belmont, MA 02478 USA
Torri, Andrea
;
Seiner, Stephen
论文数: 0引用数: 0
h-index: 0
机构:
McLean Hosp, Dept Psychiat, Belmont, MA 02478 USA
Harvard Univ, Sch Med, Boston, MA USAMcLean Hosp, Dept Psychiat, Belmont, MA 02478 USA